Individual
DIWAKAR V LINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PLAZA DR STE 175, ROSEVILLE, CA 95661-3049
(603) 653-3305
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-3305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002662
NY
208M00000X
Hospitalist Physician
002662
NY
208M00000X
Hospitalist Physician
Primary
17114
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02792556
—
NY
01
—
P01124268
RR MEDICARE PTAN
NY
Enumeration date
07/26/2006
Last updated
05/24/2021
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